Provider Demographics
NPI:1750349221
Name:SEDONA FIRE DISTRICT
Entity type:Organization
Organization Name:SEDONA FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZULIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-204-8924
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-8413
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:2860 SOUTHWEST DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-3728
Practice Address - Country:US
Practice Address - Phone:928-282-6800
Practice Address - Fax:928-282-6857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ18348400OtherUS DEPT LABOR
AZAZ0151860OtherBCBS OF AZ
AZ390302Medicaid
AZRR59001498OtherMEDICARE RR
AZZ20604Medicare ID - Type Unspecified